Friday, December 09, 2011

Low Back pain - Homeopathic treatment

Low back pain can be
differentiated into four types :

a)Local pain

b)Referred pain

c)Radicular pain

d)Pain arising from secondary muscle spam (A protective
mechanism)

There are several symptoms in the
diseases of the spine. The person may experience stiffness, limitation in the
movement and deformity but pain gets the foremost importance because of
discomfort and the disability that is experienced by the suffering person.

Importance must be given to the
character, location and the conditions that modify the pain. This will help in
correctly identifying the cause of the pain.

Local pain

It is caused due to pathologic
process, which presses upon or irritates the sensory nerve endings (Sensory
nerve endings the nerve endings which carry the pain sensation). If the
involved structure doesn’t have sensory nerve endings then there will be no
pain.

For e.g. if the central medullary
part of the vertebral body is destroyed by a tumor there will be no evidence of
pain due to absence of sensory nerve fibres. In the same case if the affected
parts are the muscles, the ligaments or the annulus fibrosis it will cause
severe pain due to involvement of the sensory nerve endings.

Often
there will be swelling of the tissues involved in case of pain but it cannot be
noticed if the deep structures of the back are involved. The character of the
pain is described as a steady intermittent but it can also be a sharp and dull
pain. The pain varies considerably with the position and the activity of the
spine.

One characteristic of the local
pain is that it will be felt in the area that is affected. The patient will
experience tenderness if the affected part is examined by putting firm
pressure. This helps in identifying the site of abnormality.

Referred pain

As the name suggests, “referred”
it is the pain that is referred to other part of the body from the site of
abnormality. This happens due to the fact that the nerve that is affected also
supplies to the other structures of the body. So if the nerve is compressed or
impinged the pain will also be felt in the distant parts that are supplied by
the same nerve.

Referred pain is of two types one
type of pain is that which is projected from the spine into the regions, which
are supplied by the nerves that pass from the lumbar or sacral region of the
spine (Lumbar and upper sacral dermatomes).

The other type of referred pain
is the one, which is referred from the abdominal structures to the spine.

If the upper part of the lumbar
spine is affected the pain will be experienced in the anterior aspect of the
thighs and the legs. If the lower lumbar and sacral segments are involved then
the pain will be referred to the gluteal region (Buttocks) and the posterior
aspect of the thighs and the calves.

The character of the referred pain
is of deep aching character and is diffuse. At times the pain is felt in the
superficial structures of the back. Certain movements, which give relief in the
local back pain, will also relieve the referred pain.

Relief of Radicular or root pain
is more precise with certain movements of the spine, which release the pressure
on the affected nerves. Referred pain can sometimes be confused with the pain
in abdomen but the abdominal pain will be deep and the radiation will be from
the abdomen to the back.

Also if the pain is due to any
pathology in the abdominal organs there wont be much change in the pain on
movement as seen in referred pain. Whereas relief will be felt when there is
activity of the affected part.

Radicular pain or Root pain

As the name suggests it is caused
by irritation, stretching or compression of the spinal root (other words when
the nerve roots are affected). The Radicular pain has some of the
characteristics of the referred pain but it differs from it by the intensity of
the pain and the localized pain that is experienced. Also there will be
radiation of pain to the fingers.

The pain is often of a dull
aching type but if the nerve roots are compressed or irritated due to certain
movements of the spine the pain can be very severe. Most of the time the
radiation of pain is from the central position of the spine to the lower
extremity.

Coughing, sneezing and certain
movements will evoke severe pain as these things put

strain on the spine. Any motion
that stretches the affected nerves like the forward bending with the knees
extended or straight leg raising in diseases of the lumbar spine will excite
Radicular pain.

The fourth, fifth lumbar and the
first sacral roots which form the sciatica nerve when affected causes pain
which mainly extends down the posterior aspect of the thigh, the posterior and
anterolateral aspect of the leg and into the foot as these parts are supplied
by the sciatic nerve this condition is known as Sciatica.

The other complaints that
accompany the radicular pain are tingling, Parestheasia, Numbness, Sensory
impairment of the skin, Soreness and tenderness of the skin along the course of
the nerve is present. There can also be loss of reflexes, weakness, wasting of
muscle, fascicular twitching and often swelling of the leg (Stasis edema) may
occur if the motor fibers of the anterior root of the spinal cord are involved.

The pain resulting from muscular
spasm is most of the times mentioned in relation to the local pain. Muscle
spasm maybe associated with various diseases of the spine. Due to the spasm
there will be significant change in the posture of the person. The person
experiences dull, cramping pain due to chronic tension in the muscles.

The person suffering from chronic
disease of the lower back may experience pain, which cannot be determined in
some cases. There can be pulling, drawing, cramping sensation without
involuntary muscle spasm along with this there can be tearing, burning and
throbbing pains. The person experiences coldness or burning which is often
difficult to interpret but the possibility of Nerve or root disease should be
kept in mind.

In a case of back pain it is very
important to obtain a correct history along with the character, Location and
radiation of the pain. The factors, which aggravate and ameliorate the pain and
its consistency, should also be taken into consideration.

The physician should also take
into consideration the past history, which might give vital clues like
accidents or injuries that have been incurred. Also a watch should be kept on
people who are hysterical and who are pretending to have severe pain for
getting compensation.

Role of Homeopathy

The role of homeopathy lies in
the fact that it can bring back the lost balance in the human body when it is
in a diseased state.

Homeopathic remedies act at the
psycho neuro endocrinal axis. In other words it stimulates the human body which
in turn will take care of the disease.

The right homeopathic remedy
prescribed on the totality of the symptoms will help in relieving the pain and
will help in arresting the disease. It will also improve the overall health of
the person.

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About Me

Dr.Santosh Joshi is a Classical Homeopath and practices Classical
Homeopathy in the city of Mumbai and via his various websites provides
consultation to patients from all over the world.(www.drjoshis.com,www.happylivin.com,www.homeopathywomen.com,www.homeopathyallergies.com) Dr.Joshi is working in
the field of Autism spectrum disorder for the past 13 years and is a
ardent promoter of early intervention,role of Homeopathy,Diet and
therapy in treating Autism.

Dr.Joshi looks into cases of autism ranging from mild-moderate-severe
, with the in-depth analysis and evaluation of every case we have been
able to achieve good results in treating autism.We also are a strong
advocate of the necessity of Dietary intervention and therapies which
are an essential part of the line of treatment.

We at Center for Autism follow a standard protocol for treating our
patients, we also take help of state of art Homeopathic software in
evaluating the autism case histories for the right Homeopathic medicine
which plays a crucial role in treating autism.Homeopathic medicines are
very effective in increasing the eye contact,social behavior,reducing
hyperactivity,addressing the sensory issues and in certain cases the
violent behavior due to obsessive compulsive disorder are handled with
care.

Our Center is focusing and studying various ways in which we can
effectively handle the growing cases of Autism , and also advice gluten
free casein free diet which is helpful.

Glimpses of Experience & Expertise:

12 years of Clinical experience in treating complex diseases with
Homeopathy at his Happy Livin Centre and via online consultation

Ex Director in a wellness company in the field of Homeopathy, Diet
& Nutrition, Yoga & Naturopathy, Ayurveda, Siddha and Unani
medicine. He was also heading the Education in Homeopathy department.

Honorary Speaker at First CME held at Chokshi Auditorium in Tata Memorial Hospital on Application of Tele Medicine in Homeopathy

Honorary Speaker at Birla Matoshree Auditorium on Role of Computers in Homeopathy

Honorary Speaker at AICAR Business School on Role of Tele Medicine in Rural setup, to policy makers and budding entrepreneurs

Won a prize for his paper presentation on Successful management of a
case of Grade 4 Astrocytoma and its Homeopathic management at a all
India Level Homeopathic Case Presentation organized by BEACON foundation

Honorary Speaker at a Convocation Ceremony of Cosmetology at Trinity Academy where he spoke on - His Road to Entrepreneurship

His article on Role of Homeopathy in Autism has been published in
Homeopathy International - The Homeopathic Medical Association U.K.

His article on Don't Stress me - On Examination stress has been published in Hindustan times

Education:

Bachelor of Homoeopathic medicines and surgery (B.H.M.S) from University of Pune in the year 1999.

Training in the Institute of clinical research (ICR) Pune.

Knowledge and Professional Experience:

Dealing with Acute and Chronic cases and its management with Homoeopathic medicines.

Working in the field of treating woman's diseases with
special interest in polycystic ovarian syndrome (PCOS), Fibroadenoma of
the breast, uterine fibroids. He has worked in the Gynecology and
Obstetrics department at Cantonment hospital Pune

Dealing with respiratory tract diseases with special
interest in Allergies, Bronchial Asthma as well in acute and chronic
bronchitis in children and adults and its management

Running a successful online homeopathic consultancy services since the last 10 years

Treating Diabetes and it complications. He was
associated with the dialysis unit at the Lions tarachand hospital where
he developed the interest of treating Diabetic nephropathy and other
complications of diabetes like non healing ulcers and neuropathy

He had the opportunity to work with senior
dermatologists at the cantonment hospital in pune where he saw many
patients and developed the interest in treating atopic dermatitis, Acne
vulgaris as well as roseacea, Herpes zoster and herpes simplex, Hair
loss and other skin ailments through homeopathy. He has been
successfully treating skin ailments since then

Treating patients suffering from depression and other mental disorders

Treating children who suffer from behavioral disorders and autistic complex disorder

Worked with a senior pediatrician in neonatology and pediatrics at Bhide Hospital

Worked in Lions Tarachand Bappa hospital as a resident
medical officer. Dealt with the various aspects in General surgery,
Gynecology, Neonatology, renal diseases and dialysis

Worked with a Cosmetic surgeon Dr. Sunil Keswani learned the various aspects of burns case management

Worked in the organizing committee in 2 major
International Homoeopathic Conferences in Mumbai Simillimum 2000 and
2001 held at Shanmukhanand Hall Mumbai

Organized 2 seminars during college years and visited rural medical camps and treated patients

Worked in the Organizing Committee of Simillimum 2003 conference at Birla Matushri in Mumbai

Was invited for the W.H.O sponsored seminar on Management of Geriatric diseases and its Homeopathic management